Investigating the association between health literacy and nonadherence
Article
Ostini, Remo and Kairuz, Therese. 2014. "Investigating the association between health literacy and nonadherence." International Journal of Clinical Pharmacy. 36 (1), pp. 36-44. https://doi.org/10.1007/s11096-013-9895-4
| Article Title | Investigating the association between health literacy and nonadherence |
|---|---|
| ERA Journal ID | 14849 |
| Article Category | Article |
| Authors | Ostini, Remo and Kairuz, Therese |
| Journal Title | International Journal of Clinical Pharmacy |
| Journal Citation | 36 (1), pp. 36-44 |
| Number of Pages | 9 |
| Year | Feb 2014 |
| Place of Publication | Netherlands |
| ISSN | 0928-1231 |
| 1573-739X | |
| 2210-7703 | |
| 2210-7711 | |
| Digital Object Identifier (DOI) | https://doi.org/10.1007/s11096-013-9895-4 |
| Web Address (URL) | https://link.springer.com/article/10.1007/s11096-013-9895-4 |
| Abstract | Background: Low health literacy is expected to be associated with medication non-adherence and early research indicated that this might be the case. Further research suggested that the relationship may be more equivocal. Aim of the review: The goal of this paper is initially to clarify whether there is a clear relationship between health literacy and non-adherence. Additionally, this review aims to identify factors that may influence that relationship and ultimately to better understand the mechanisms that may be at work in the relationship. Method: English language original research or published reviews of health literacy and non-adherence to orally administered medications in adults were identified through a search of four bibliographic databases (PubMed, EMBASE, CINAHL, and EBSCO Health). Results: The search protocol produced 78 potentially relevant articles, of which 16 articles addressed factors that contribute to non-adherence and 24 articles reported on the results of research into the relationship between non-adherence and health literacy. Factors that contribute to non-adherence can be categorised into patient related factors, including patient beliefs; medication related factors; logistical factors; and factors around the patient-provider relationship. Of the 23 original research articles that investigated the relationship between non-adherence and health literacy, only five reported finding clear evidence of a relationship, four reported mixed results and 15 articles reported not finding the expected relationship. Research on possible mechanisms relating health literacy to non-adherence suggest that disease and medication knowledge are not sufficient for addressing non-adherence while self-efficacy is an important factor. Other findings suggest a possible U-shaped relationship between non-adherence and health literacy where people with low health literacy are more often non-adherent, largely unintentionally; people with moderate health literacy are most adherent; and people with high health literacy are somewhat non-adherent, sometimes due to intentional non-adherence. Conclusion: It is clear that relevant research generally fails to find a significant relationship between non-adherence and health literacy. A U-shaped relationship between these two conditions would explain why linear statistical tests fail to identify a relationship across all three levels of health literacy. It can also account for the conditions under which both positive and negative relationships may be found. |
| Keywords | Health literacy; Knowledge; Non-adherence; Non-linear relationship; Patient adherence; Self-efficacy |
| Public Notes | Files associated with this item cannot be displayed due to copyright restrictions. |
| Byline Affiliations | University of Queensland |
| Library Services |
Permalink -
https://research.usq.edu.au/item/wv38x/investigating-the-association-between-health-literacy-and-nonadherence
37
total views0
total downloads0
views this month0
downloads this month
Export as
Related outputs
How and where physicians learn their craft are central to determining where their medical careers unfold
Ostini, Remo. 2021. "How and where physicians learn their craft are central to determining where their medical careers unfold." Medical Journal of Australia. 215, pp. S5-S6. https://doi.org/10.5694/mja2.51122Health literacy in rural and urban populations: A systematic review
Aljassim, Noor and Ostini, Remo. 2020. "Health literacy in rural and urban populations: A systematic review." Patient Education and Counseling. 103 (10), pp. 2142-2154. https://doi.org/10.1016/j.pec.2020.06.007Common mental disorders among Indigenous people living in regional, remote and metropolitan Australia: a cross-sectional study
Nasir, Bushra F., Toombs, Maree T., Kondalsamy-Chennakesavan, Srinivas, Kisely, Steve, Gill, Neeraj S., Black, Emma, Hayman, Noel, Ranmuthugala, Geetha, Beccaria, Gavin, Ostini, Remo and Nicholson, Geoffrey C.. 2018. "Common mental disorders among Indigenous people living in regional, remote and metropolitan Australia: a cross-sectional study." BMJ Open. 8 (6), pp. 1-11. https://doi.org/10.1136/bmjopen-2017-020196Insights from the coalface: barriers to accessing medicines and pharmacy services for resettled refugees from Africa
Bellamy, Kim, Ostini, Remo, Martini, Nataly and Kairuz, Therese. 2019. "Insights from the coalface: barriers to accessing medicines and pharmacy services for resettled refugees from Africa." Australian Journal of Primary Health. 25 (2), pp. 118-124. https://doi.org/10.1071/PY18092Validation of the Shortened Perceived Medical Condition Self-Management Scale in Patients with Chronic Disease
Wild, Marcus G., Ostini, Remo, Harrington, Magdalena, Cavanaugh, K. and Wallston, Kenneth A.. 2018. "Validation of the Shortened Perceived Medical Condition Self-Management Scale in Patients with Chronic Disease." Psychological Assessment. 30 (10), pp. 1300-1307. https://doi.org/10.1037/pas0000572A retrospective observational study on the management of urinary tract infections in older medical patients in the hospital
Alwis, D. D., Arjunan, A., Lin, S. and Ostini, R.. 2018. "A retrospective observational study on the management of urinary tract infections in older medical patients in the hospital." Australian and New Zealand Society for Geriatric Medicine Annual Scientific Meeting (2018). Sydney, Australia 27 - 29 Jun 2018 Australia. https://doi.org/10.1111/ajag.12551Medical student contact with specialty trainees: Missing out in general practice?
Sturman, Nancy and Ostini, Remo. 2018. "Medical student contact with specialty trainees: Missing out in general practice?" Australian Journal of General Practice. 47 (6), pp. 391-395. https://doi.org/10.31128/AJGP-12-17-4423Mental Health and Indigenous Connection to Land and Community
Toombs, M., Kondalsamy-Chennakesavan, S., Kisely, S., Gill, N., Hayman, N., Ranmuthugala, G., Beccaria, G., Ostini, R., Nicholson, G. and Nasir, B.. 2018. "Mental Health and Indigenous Connection to Land and Community." Royal Australian & New Zealand College of Psychiatrists (RANZCP) 2018 Congress. New Zealand 12 201 - 17 May 2018 Australia. SAGE Publications Ltd.The Cultural Appropriateness of the Structured Clinical Interview for DSM-IV TR, AXIS I for Indigenous Populations
Toombs, M, Nasir, B, Kisely, S, Kondalsamy-Chennakesavan, S, Gill, N, Black, E, Hayman, N, Ranmuthugala, G, Beccaria, G, Ostini, R and Nicholson, G. 2018. "The Cultural Appropriateness of the Structured Clinical Interview for DSM-IV TR, AXIS I for Indigenous Populations." Royal Australian & New Zealand College of Psychiatrists (RANZCP) 2018 Congress. New Zealand 12 201 - 17 May 2018 Australia. SAGE Publications Ltd. https://doi.org/10.1177/0004867418764980An Integrated Theatre Production for School Nutrition Promotion Program
Bush, Robert, Capra, Sandra, Box, Selina, McCallum, David, Khalil, Stephanie and Ostini, Remo. 2018. "An Integrated Theatre Production for School Nutrition Promotion Program." Children. 5 (3), pp. 1-11. https://doi.org/10.3390/children5030035Factors associated with the human papillomavirus (HPV) vaccination across three countries following vaccination introduction
Nickel, Brooke, Dodd, Rachael H., Turner, Robin M., Waller, Jo, Marlow, Laura, Zimet, Gregory, Ostini, Remo and McCaffery, Kirsten. 2017. "Factors associated with the human papillomavirus (HPV) vaccination across three countries following vaccination introduction." Preventive Medicine Reports. 8, pp. 169-176. https://doi.org/10.1016/j.pmedr.2017.10.005Perspectives of resettled African refugees on accessing medicines and pharmacy services in Queensland, Australia
Bellamy, Kim, Ostini, Remo, Martini, Nataly and Kairuz, Therese. 2017. "Perspectives of resettled African refugees on accessing medicines and pharmacy services in Queensland, Australia." International Journal of Pharmacy Practice. 25 (5), pp. 358-364. https://doi.org/10.1111/ijpp.12324“On the same page”? The effect of GP examiner feedback on differences in rating severity in clinical assessments: a pre/post intervention study
Sturman, Nancy, Ostini, Remo, Wong, Wai Yee, Zhang, Jianzhen and David, Michael. 2017. "“On the same page”? The effect of GP examiner feedback on differences in rating severity in clinical assessments: a pre/post intervention study." BMC Medical Education. 17 (1), pp. 1-7. https://doi.org/10.1186/s12909-017-0929-9Perceptions of responsibility for health literacy among health professionals and consumers
Ostini, Remo, Ostini, Jenny and Argall, Rosemary. 2016. "Perceptions of responsibility for health literacy among health professionals and consumers." 14th International Congress of Behavioral Medicine: Behavioral Medicine: Making an Impact in the Modern World (ICBM 2016). Melbourne, Australia 07 - 10 Dec 2016 Springer. https://doi.org/10.1007/s12529-016-9586-3Extending and validating a human papillomavirus (HPV) knowledge measure in a national sample of Canadian parents of boys
Perez, Samara, Tatar, Ovidiu, Ostini, Remo, Shapiro, Waller, Jo, Zimet, Gregory and Rosberger, Zeev. 2016. "Extending and validating a human papillomavirus (HPV) knowledge measure in a national sample of Canadian parents of boys." Preventive Medicine. 91, pp. 43-49. https://doi.org/10.1016/j.ypmed.2016.07.017Patient Assessment of Chronic Illness Care (PACIC) in Type 2 Diabetes: A Longitudinal Study
Aung, Eindra, Ostini, Remo, Dower, Jo, Donald, Maria, Coll, Joseph R., Williams, Gail M. and Doi, Suhail A. R.. 2016. "Patient Assessment of Chronic Illness Care (PACIC) in Type 2 Diabetes: A Longitudinal Study." Evaluation and the Health Professions. 39 (2), pp. 185-203. https://doi.org/10.1177/0163278714556674Seeking to understand: using generic qualitative research to explore access to medicines and pharmacy services among resettled refugees
Bellamy, Kim, Ostini, Remo, Martini, Nataly and Kairuz, Therese. 2016. "Seeking to understand: using generic qualitative research to explore access to medicines and pharmacy services among resettled refugees." International Journal of Clinical Pharmacy. 38 (3), pp. 671-675. https://doi.org/10.1007/s11096-016-0261-1Erratum to: Seeking to understand: using generic qualitative research to explore access to medicines and pharmacy services among resettled refugees
Bellamy, Kim, Ostini, Remo, Martini, Nataly and Kairuz, Therese. 2016. "Erratum to: Seeking to understand: using generic qualitative research to explore access to medicines and pharmacy services among resettled refugees." International Journal of Clinical Pharmacy. 38 (2), p. 469. https://doi.org/10.1007/s11096-016-0276-7Differences in Moral Judgment on Animal and Human Ethics Issues between University Students in Animal-Related, Human Medical and Arts Programs
Verrinder, Joy M., Ostini, Remo and Phillips, Clive J. C.. 2016. "Differences in Moral Judgment on Animal and Human Ethics Issues between University Students in Animal-Related, Human Medical and Arts Programs." PLoS One. 11 (3), pp. 1-15. https://doi.org/10.1371/journal.pone.0149308Exploratory Study of Total and Free Prednisolone Plasma Exposure and Cushingoid Appearance, Quality of Life and Biochemical Toxicity in Adult Male Kidney Transplant Recipients
Bergmann, Troels K., Isbel, Nicole M., Ostini, Remo, Barraclough, Katherine A., Campbell, Scott B., McWhinney, Brett C., Inder, Warrick J., Russell, Anthony and Staatz, Christine E.. 2015. "Exploratory Study of Total and Free Prednisolone Plasma Exposure and Cushingoid Appearance, Quality of Life and Biochemical Toxicity in Adult Male Kidney Transplant Recipients." Clinical Drug Investigation. 35 (11), pp. 743-750. https://doi.org/10.1007/s40261-015-0334-2Health literacy among consumers in community pharmacy: perceptions of pharmacy staff
Kairuz, Therese E., Bellamy, Kim M., Lord, Elisabeth, Ostini, Remo and Emmerton, Lynne M.. 2015. "Health literacy among consumers in community pharmacy: perceptions of pharmacy staff." Health Expectations. 18 (5), pp. 1041-1051. https://doi.org/10.1111/hex.12077Access to medication and pharmacy services for resettled refugees: a systematic review
Bellamy, Kim, Ostini, Remo, Martini, Nataly and Kairuz, Therese. 2015. "Access to medication and pharmacy services for resettled refugees: a systematic review." Australian Journal of Primary Health. 21 (3), pp. 273-278. https://doi.org/10.1071/PY14121A Psychometric Evaluation of Three Pain Rating Scales for People with Moderate to Severe Dementia
Neville, Christine and Ostini, Remo. 2014. "A Psychometric Evaluation of Three Pain Rating Scales for People with Moderate to Severe Dementia." Pain Management Nursing. 15 (4), pp. 798-806. https://doi.org/10.1016/j.pmn.2013.08.001Localised data sources for community health indicators: Ipswich Local Governance Area
Ostini, Jenny, Ostini, Remo and Bush, Robert. 2010. Localised data sources for community health indicators: Ipswich Local Governance Area. Healthy Communities Reseach Centre, The University of Queensland. https://doi.org/10.13140/2.1.4938.3686Use of Ezetimibe in Australia
Hollingworth, Samantha A., Ostini, Remo, Michael, David, Martin, Jennifer and Susan, Tett. 2014. "Use of Ezetimibe in Australia." 30th International Conference on Pharmacoepidemiology and Therapeutic Risk Management (2014). Taiwan 24 - 27 Oct 2014 United Kingdom. https://doi.org/10.1002/pds.3701Fit & fuelled kids: program evaluation report 2010
Ostini, Jenny and Ostini, Remo. 2011. Fit & fuelled kids: program evaluation report 2010. Brisbane, Australia. University of Queensland. https://doi.org/10.13140/2.1.3463.8085Knowledge of human papillomavirus (HPV) testing in the USA, the UK and Australia: an international survey
Dodd, Rachael H., McCaffery, Kirsten J., Marlow, Laura A. V., Ostini, Remo, Zimet, Gregory D. and Waller, Jo. 2014. "Knowledge of human papillomavirus (HPV) testing in the USA, the UK and Australia: an international survey." Sexually Transmitted Infections. 90 (3), pp. 201-207. https://doi.org/10.1136/sextrans-2013-051402The characteristics of inactive men working in a regional area of Queensland, Australia
Wong, Jason Y. L., Gilson, Nicholas D., Peeters, G. M. E. E. (Geeske), Ostini, Remo, Bush, Robert A. and Brown, Wendy J.. 2014. "The characteristics of inactive men working in a regional area of Queensland, Australia." Journal of Science and Medicine in Sport. 17 (1), pp. 56-60. https://doi.org/10.1016/j.jsams.2013.02.008Knowledge of human papillomavirus (HPV) and HPV vaccination: An international comparison
Marlow, Laura A. V., Zimet, Gregory D., McCaffery, Kirsten J., Ostini, Remo and Waller, Jo. 2013. "Knowledge of human papillomavirus (HPV) and HPV vaccination: An international comparison." Vaccine. 31 (5), pp. 763-769. https://doi.org/10.1016/j.vaccine.2012.11.083Validation of a measure of knowledge about human papillomavirus (HPV) using item response theory and classical test theory
Waller, Jo, Ostini, Remo, Marlow, Laura A. V., McCaffery, Kirsten and Zimet, Gregory. 2013. "Validation of a measure of knowledge about human papillomavirus (HPV) using item response theory and classical test theory." Preventive Medicine. 56 (1), pp. 35-40. https://doi.org/10.1016/j.ypmed.2012.10.028Quality Use of Medicines – medication safety issues in naming; look-alike, sound-alike medicine names
Ostini, Remo, Roughead, Elizabeth E., Kirkpatrick, Carl M. J., Monteith, Greg R. and Tett, Susan E.. 2012. "Quality Use of Medicines – medication safety issues in naming; look-alike, sound-alike medicine names." International Journal of Pharmacy Practice. 20 (6), pp. 349-57. https://doi.org/10.1111/j.2042-7174.2012.00210.xThe Audit of Diabetes-Dependent Quality of Life 19 (ADDQoL): feasibility, reliability and validity in a population-based sample of Australian adults
Ostini, Remo, Dower, Jo and Donald, Maria. 2012. "The Audit of Diabetes-Dependent Quality of Life 19 (ADDQoL): feasibility, reliability and validity in a population-based sample of Australian adults." Quality of Life Research. 21 (8), pp. 1471-1477. https://doi.org/10.1007/s11136-011-0043-0This item comprises data from the following sources: Web of Science